Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.75 / $81.36 / $332.53	Facility	26	$70.75	$81.36	$332.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $277.86 / $1,009.94	Professional		$171.00	$277.86	$1,009.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.33 / $92.90 / $216.64	Professional	26	$58.33	$92.90	$216.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.78 / $207.11 / $631.84	Professional	TC	$106.78	$207.11	$631.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $298.95 / $448.69	Professional		$154.72	$298.95	$448.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.27 / $75.59 / $132.53	Professional	26	$54.27	$75.59	$132.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.97 / $214.65 / $325.87	Professional	TC	$96.97	$214.65	$325.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $93.54 / $135.30	Professional		$32.57	$93.54	$135.30
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.41 / $282.89 / $487.81	Professional		$242.41	$282.89	$487.81
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $89.72 / $104.71 / $136.68	Professional	26	$89.72	$104.71	$136.68
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $152.69 / $178.18 / $355.94	Professional	TC	$152.69	$178.18	$355.94
United Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $261.08 / $400.00	Professional		$173.02	$261.08	$400.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.23 / $66.97 / $114.03	Professional	26	$54.23	$66.97	$114.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.50 / $204.98 / $308.08	Professional	TC	$117.50	$204.98	$308.08